Al Gharaibeh, Suzan

Al Gharaibeh, Suzan is an individual health care provider with primary practice located at 751 N Rutledge St Rm 2300, Springfield IL 62702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Al Gharaibeh, Suzan can be contacted via phone (217) 545-3821.

Contact Information

Primary practice address
751 N Rutledge St Rm 2300 Springfield IL 62702
Fax: (217) 545-4735
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036-113428 Illinois

Profile Details

NPI number 1235345539
LBN Legal business name Al Gharaibeh, Suzan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 6th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235345539 NPPES
Illinois MEDICAID 036113428

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